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Thirty-Five Years of Mechanical Circulatory Support at the Texas
Thirty-Five Years of Mechanical Circulatory Support at the Texas

... eplacing the failing human heart has had a turbulent history. The 1st human-to-human heart transplantation, performed by Christiaan Barnard in 1967,1 marked an exciting advance in cardiac surgery. It revealed to the medical community at large and to the public that failing hearts could be replaced, ...
Full Text Article
Full Text Article

... broadly to all patients presenting for surgery for congenital heart disease. Factors that impact the need for allogeneic blood products may involve the preoperative, intraoperative, and postoperative period (Table 1). Preoperatively, maximizing hematocrit and ensuring adequate coagulation profile are ...
draft - ACCP
draft - ACCP

... Failure Program at UIMCC is Thomas D. Stamos, MD. He oversees a heart failure “team” that includes a dedicated heart failure fellow, two advanced practice nurses (APN), two clinical pharmacists [one in ambulatory care; one hospital-based (primary preceptor)], and two APNs who serve as research coord ...
Prominent crista terminalis mimicking a right atrial mixoma: cardiac
Prominent crista terminalis mimicking a right atrial mixoma: cardiac

... Sitting blood pressure was 190/86 mmHg (average of 3 measurements). Grade II hypertensive retinopathy was found on ophthalmoscopy. The ECG showed sinus rhythm with heart rate of 68 beats per minute and signs of left ventricular hypertrophy without strain. No abnormalities were detected on routine la ...
11.4: Hemodynamic Assessment - American College of Cardiology
11.4: Hemodynamic Assessment - American College of Cardiology

... such as titration of diuretics and suitability for and/or tolerability of beta-blockers. The assessin the ESCAPE (Evaluation Study of Congestive Heart Failure ment of adequacy of perfusion may guide the consideration of and Pulmonary Artery Catheterization Effectiveness) trial.2 The need for inotrop ...
Heart sound analysis for symptom detection and computer
Heart sound analysis for symptom detection and computer

... Comparing the normal and abnormal S2 transfer functions, however, there are clear differences. There are two pronounced additional peaks in the case with coarctation, together with shifts in the locations and relative amplitudes of the peaks observed in the normal case. Establishing a correlation bet ...
Depression and Cardiovascular Disease
Depression and Cardiovascular Disease

... Depression and 18-Month Prognosis After Myocardial Infarction 18month follow-up showed that both DIS and BDI scores consistent with depression were significantly related to 18month cardiac mortality, after controlling for other predictors of mortality including Killip class, PVCs, previous MI. (OR ...
EKG
EKG

... Leads to Look at for MI – now or in the past! • Remember an MI happening now has elevated ST segments – one in past shows Q-waves • A Posterior wall MI – will show in leads V1 and V2 – it involves occlusion of the Right Coronary Artery • A Lateral wall MI – shows in lead I and AVL- it involves occl ...
Norske abstrakter/postere på EuroPrevent 2008
Norske abstrakter/postere på EuroPrevent 2008

... showed abnormal PAP response > 40mmHg (44 to 56), none had hypoxia (mean 98.6%). After 120 minutes resting at moderate altitude mean PAP increased from 24mmHg at sea level to 32 mmHg, 3 patients showed PAP increase above 40mmHg (43 to 45), mean SpO2 had fallen to 94% (88 to 98). During altitude exer ...
Valvular heart disease - pathophysiology and management
Valvular heart disease - pathophysiology and management

... of the aortic valve (this is known as aortic dissection).The blood leaking back into the left ventricle places it under strain and the patient may become hypertensive. Regurgitation reduces coronary artery blood flow and, in the presence of atherosclerosis, can lead to ischaemia and angina. Ultimate ...
Computational Simulation of Heart Valve Leaflet under Systole
Computational Simulation of Heart Valve Leaflet under Systole

... of heart valve leaflet during systole condition. Two-dimensional model of the heart valve were created in ADINA-Fluid Structure Interaction for computational simulations. The result shows rigidity of heart valve leaflet always opposite to degeneration and the simulated show stress distribution in th ...
Diet and Health Guidelines to Lower Risk of High Blood Pressure
Diet and Health Guidelines to Lower Risk of High Blood Pressure

... two high blood pressure readings, taken several weeks apart, with either the systolic or diastolic or both consistently above 140/90  Blood pressure changes throughout the day  Just going to the doctor may make some people’s ...
Dysplasia of the Systemic and Pulmonary Arterial System
Dysplasia of the Systemic and Pulmonary Arterial System

sounds to right supraclavicular fossa
sounds to right supraclavicular fossa

... We contend that prominent jugular venous pulsations may lead to the recording, and at times to the auscultation, of these vibrations. A similar explanation for the occurrence of presystolic clicks recorded over the jugular venous pulsation in patients with tricuspid regurgitation has been offered by ...
19 a review on importance of ace inhibitors in clinical practice
19 a review on importance of ace inhibitors in clinical practice

... mechanisms including renal and indirect adrenal effects as well as possible central inhibition. Parasympathetic activity may also be stimulated. ACE inhibitors are more effective in white patients that are why ALLHAT11 trial shows less effectiveness than diuretic due to high proportion of black pati ...
slide_3
slide_3

... – Signals onset of atrial contraction QRS complex: ventricular depolarization – Signals onset of ventricular contraction.. T wave: repolarization of ventricles PR interval or PQ interval: 0.16 sec – Extends from start of atrial depolarization to start of ventricular depolarization (QRS complex) cont ...
transient severe left ventricular diastolic dysfunction during
transient severe left ventricular diastolic dysfunction during

... During intraoperative TEE mitral inflow velocity and pulmonary vein flow can be obtained easily and estimation of diastolic function can be made2,3. There are several classic mitral valve inflow patterns that have been attributed varying degrees to diastolic dysfunction. These include, delayed relax ...
Transcatheter Aortic Valve Replacement
Transcatheter Aortic Valve Replacement

...  Aortic stenosis is estimated to be prevalent in up to 7% of the population over the age of 652  Between 1990 and 2020, the population from 65 – 74 years ...
CTA accreditation document- final -10-01-10
CTA accreditation document- final -10-01-10

... of coronary arteries but additionally also provides the opportunity to assess the size of cardiac chambers, myocardium, pericardium, pulmonary arteries, surrounding lung parenchyma, and other structures. If retrospectively gated, functional information, such as ejection fraction and valve function c ...
4-D Micro-CT of the Mouse Heart
4-D Micro-CT of the Mouse Heart

... rapidly beating mouse and rat hearts [4,5,7]. The disadvantages of MR microscopy are related to the poor signal-to-noise ratio (SNR), long acquisition time, and high cost. In vivo heart imaging is also possible and was performed in rats using micro-PET [8] and pinhole-gated SPECT [9], but the resolu ...
Histophilus somni - Wyoming Scholars Repository
Histophilus somni - Wyoming Scholars Repository

...  Not traditionally recognized in United States  Canadian feedlots document the disease in sudden ...
The relation between alcohol and cardiovascular disease in Eastern
The relation between alcohol and cardiovascular disease in Eastern

... directly, or indirectly, using indicators such as frequency of hangovers or reports of the consequences of drunkenness, have consistently found an invcreased risk of cardiovascular death, particularly sudden death. A separate review of the physiological basis for a diVerence between regular heavy dr ...
growth and development
growth and development

... Right to left shunt: deoxygenated blood from the systemic venous system is being directed back into the systemic circulation without transiting the pulmonary vascular bed. c. All such defects are associated with the presence of a septal defect coupled with additional abnormalities which alter the pr ...
High Blood Pressure (Hypertension)
High Blood Pressure (Hypertension)

... pub measure of spirits. However, too much alcohol can be harmful. Men should drink no more than 21 units of alcohol per week (and no more than 4 units in any one day). Women should drink no more than 14 units of alcohol per week (and no more than 3 units in any one day). Cutting back on heavy drinki ...
Architecture of fibers of the working myocardium and
Architecture of fibers of the working myocardium and

... skeleton at the base of the heart, spirally twist clockwise and form a curl at the left ventricle apex. Orifice of pulmonary artery is surrounded with a bundle of fibres attached to the fibrous skeleton. At the ventral side the superficial fibers of heart ventricles go obliquely from right to left c ...
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Myocardial infarction



Myocardial infarction (MI) or acute myocardial infarction (AMI), commonly known as a heart attack, occurs when blood flow stops to a part of the heart causing damage to the heart muscle. The most common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck, or jaw. Often it is in the center or left side of the chest and lasts for more than a few minutes. The discomfort may occasionally feel like heartburn. Other symptoms may include shortness of breath, nausea, feeling faint, a cold sweat, or feeling tired. About 30% of people have atypical symptoms, with women more likely than men to present atypically. Among those over 75 years old, about 5% have had an MI with little or no history of symptoms. An MI may cause heart failure, an irregular heartbeat, or cardiac arrest.Most MIs occur due to coronary artery disease. Risk factors include high blood pressure, smoking, diabetes, lack of exercise, obesity, high blood cholesterol, poor diet, and excessive alcohol intake, among others. The mechanism of an MI often involves the rupture of an atherosclerotic plaque, leading to complete blockage of a coronary artery. MIs are less commonly caused by coronary artery spasms, which may be due to cocaine, significant emotional stress, and extreme cold, among others. A number of tests are useful to help with diagnosis, including electrocardiograms (ECGs), blood tests, and coronary angiography. An ECG may confirm an ST elevation MI if ST elevation is present. Commonly used blood tests include troponin and less often creatine kinase MB.Aspirin is an appropriate immediate treatment for a suspected MI. Nitroglycerin or opioids may be used to help with chest pain; however, they do not improve overall outcomes. Supplemental oxygen should be used in those with low oxygen levels or shortness of breath. In ST elevation MIs treatments which attempt to restore blood flow to the heart are typically recommended and include angioplasty, where the arteries are pushed open, or thrombolysis, where the blockage is removed using medications. People who have a non-ST elevation myocardial infarction (NSTEMI) are often managed with the blood thinner heparin, with the additional use angioplasty in those at high risk. In people with blockages of multiple coronary arteries and diabetes, bypass surgery (CABG) may be recommended rather than angioplasty. After an MI, lifestyle modifications, along with long term treatment with aspirin, beta blockers, and statins, are typically recommended.Worldwide, more than 3 million people have ST elevation MIs and 4 million have NSTEMIs each year. STEMIs occur about twice as often in men as women. About one million people have an MI each year in the United States. In the developed world the risk of death in those who have had an STEMI is about 10%. Rates of MI for a given age have decreased globally between 1990 and 2010.
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